A list of the most recent deficiencies for Divine Providence Community Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2022-12-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-09 | 2022-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2022-12-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-09 | 2022-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-12-26 | Y |
| Post nurse staffing information every day. | Health | 2022-11-09 | 2022-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-09 | 2022-12-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-09 | 2022-12-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-08 | 2022-12-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-26 | 2022-05-23 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-22 | 2021-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-22 | 2021-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-08-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-02 | 2019-06-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-02 | 2019-06-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-02 | 2019-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-02 | 2019-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-05-03 | N |
